| Las Vegas Gastroenterology Associate Llc | |
|
3150 N Tenaya Way Ste 525 Las Vegas NV 89128-0465 | |
| (702) 641-4220 | |
| (702) 966-2440 |
| Full Name | Las Vegas Gastroenterology Associate Llc |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 3150 N Tenaya Way Ste 525, Las Vegas, Nevada |
| Authorized Official Name and Position | Adedayo Mokuolou (MANAGING MEMBER) |
| Authorized Official Contact | 7026414220 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Las Vegas Gastroenterology Associate Llc 2700 Las Vegas Blvd S Unit 3201 Las Vegas NV 89109-1169 Ph: (702) 641-4200 | Las Vegas Gastroenterology Associate Llc 3150 N Tenaya Way Ste 525 Las Vegas NV 89128-0465 Ph: (702) 641-4220 |
| NPI Number | 1851635783 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 03/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1851635783 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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